327 results
83y · Female·Hyponatraemic encephalopathy due to adverse effects of citaprolam and duloxetine…
An 83-year-old woman with pre-existing SIADH-related chronic hyponatraemia died from hyponatraemic encephalopathy following antidepressant therapy. Critical clinical lessons include: (1) the importance of accessing prior…
54y · Female·Opioid toxicity (predominantly fentanyl)
54-year-old woman with diabetes, obesity, and multiple opioid allergies underwent groin surgery at a private hospital. Anaesthetist Dr Y. prescribed a 75mcg/hr fentanyl patch post-operatively for chronic pain management …
72y · Male·Bilateral pneumothoraces and pneumoperitoneum due to insufflation of the bladder…
Stephen Herczeg, a 72-year-old patient with COPD and urinary tract infection, died from bilateral pneumothoraces and pneumoperitoneum caused by insufflation of his bladder with oxygen. The oxygen supply tubing was someho…
73y · Male·Acute intracranial haemorrhage, due to or as a consequence of coagulopathy, due …
Mr Stimpson, a 73-year-old man, died from massive intracerebral haemorrhage secondary to coagulopathy caused by inadvertent double administration of anticoagulants (Clexane and Xarelto). He developed bilateral pulmonary …
33y · Male·Decompensated congestive cardiac failure complicating acute myocardial infarctio…
A 33-year-old man with morbid obesity and steroid dependency presented with chest pain and light-headedness. Initial GP assessment missed acute coronary syndrome despite ECG changes on second visit. ED correctly diagnose…
86y · Male·Sepsis with septic shock, due to urinary tract infection, pyelonephritis (kidney…
An 86-year-old man died from sepsis and septic shock secondary to urinary tract infection, pyelonephritis and prostatic infection. He presented to his GP in March 2015 with dizziness and reported urinary incontinence and…
43y · Female·acute multiple drug toxicity on a background of chronic pain and morbid obesity
A 43-year-old woman died from acute multiple drug toxicity after 26 years of high-dose opioid therapy for chronic pain following a motor vehicle accident. Despite recognition by multiple clinicians that opioid doses exce…
83y · Male·pneumonia and severe acute respiratory distress syndrome caused by Legionella ba…
An 83-year-old man died from pneumonia and respiratory distress caused by Legionella bacterium. He presented with abdominal symptoms and was initially misdiagnosed as having aspiration pneumonia rather than community-acq…
49y · Male·ligature compression of the neck (hanging)
Barry Matt Stuart, a 49-year-old prisoner at Hakea Prison, died by suicide via ligature compression of the neck in November 2013. Critical clinical lessons include: (1) maintaining psychiatric continuity of care is essen…
87y · Female·Multiple opioid drug toxicity (morphine and fentanyl) in combination with conges…
An 87-year-old woman with multiple comorbidities (ischaemic heart disease, emphysema, chronic kidney disease) was discharged home for palliative care after a hospital admission. Her family administered excessive doses of…
21y · Male·combined effect of a cocktail of drugs taken by him, which caused central nervou…
Paul Fennessy, 21 years old, died from a cocktail of drugs causing central nervous system and respiratory depression with positional asphyxia on 6 January 2010. He had a decade-long history of polysubstance abuse, doctor…
21y · Male·combined effect of a cocktail of drugs causing central nervous system depression…
Paul Fennessy, a 21-year-old with polysubstance addiction and mental health issues, died from positional asphyxia following a drug overdose on 6 January 2010. He presented to the Emergency Department that afternoon after…
31y · Female·Mixed drug toxicity
A 31-year-old woman with long-standing opioid dependence enrolled in the Queensland Opioid Treatment Program died from mixed drug toxicity, with toxic levels of Fentanyl and other drugs in her system. A general practitio…
28y · Female·methadone toxicity
A 28-year-old woman with a history of mental illness and substance use disorder died from methadone toxicity five days after recommencing methadone maintenance therapy (MMT) after a four-month break. She was prescribed 4…
51y · Male·Blunt head injury sustained in the circumstances of a seizure
John Jansen, a 51-year-old man with poorly controlled epilepsy and chronic alcoholism, died from blunt head injury sustained during a seizure in his home. He had not taken his anti-epileptic medication (Epilim) for four …
88y · Female·combined effects of an overdose of hydromorphone and complications of pneumonia …
An 88-year-old woman with chronic lung disease, heart disease, and recent pneumonia following faecal transplant for clostridium difficile colitis was prescribed 0.5 mg hydromorphone subcutaneously for respiratory distres…
48y · Female·Combined drug toxicity involving oxycodone, benzodiazepines (diazepam, nordiazep…
A 48-year-old woman with epilepsy, depression, anxiety and documented drug dependence died from combined toxicity of oxycodone, benzodiazepines, amitriptyline and other drugs. Over 12 months pre-death, she obtained medic…
45y · Male·multi-drug toxicity from ingestion of methadone and amitriptyline
Terry Riordan, 45, died from multi-drug toxicity caused by ingesting amitriptyline and methadone in April 2015. He had complex medical and psychiatric comorbidities, substance abuse issues, and was under care of his GP D…
23y · Male·intra-cerebral haemorrhage following methylamphetamine use
Tyler John Broomhall, a 23-year-old factory worker, died from intracranial haemorrhage following methylamphetamine use during a football match. He had suffered a prior unreported work-related head injury 4-6 weeks earlie…
33y · Male·Opiate toxicity
A 33-year-old man with previously unrecognized obstructive sleep apnoea was admitted with severe headache. The treating physician prescribed a complex regimen of escalating opiate doses including both slow-release (MS Co…
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